HOW TO PLAY

1. Start your shift and pick a wing: Step 1, or Step 2 CK with one rotation or all six.
2. Knock on the door and step into the exam room.
3. Tap every glowing marker to collect six findings. They go from vague to specific, so you can call it early in your head and see if you were right.
4. Read your clipboard, then type a main diagnosis and up to two differentials. Pick each one from the list that pops up.
5. Step 2 CK cases add one more question: the next best step in management.

MARKER COLORS

• Red: physical exam
• Blue: history
• Yellow: vitals, labs and imaging
• Purple: a page from your attending

SCORING

• Main diagnosis right: 3 pts
• Right answer in a differential: 1 pt
• Right next best step (Step 2 CK): 2 pts
• Bonus round right (markers tagged +1): 1 pt
• Rapid triage right: 2 pts

SHIFT EVENTS

• Rapid triage: every few patients, three patients arrive at once. You have 20 seconds to pick who to see first.
• Readmissions: miss the main diagnosis and that patient comes back 5 patients later for another try.

THE PHYSICIAN LOUNGE

End your shift anytime to head to the lounge. Review your solved patient files, see your accuracy by system or rotation, and collect your paycheck: $1 for every point. Spend it at the vending machine on scrubs, coats, clipboards and lounge decor. Spending never lowers your score.

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